Speaking of medical insurance ...

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Bub
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2011/06/23 00:58:42 (permalink)

Speaking of medical insurance ...

I got the bill for an ultrasound I had to have done a couple weeks ago ...

$799 for 10 minutes work, $200 for the visit to the doctor which was all of 5 minutes.

Thankfully I have good insurance through my wife's employer so I won't have to pay for it all.

$1100 for 15 minutes. What a scam.

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    Old55
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    Re:Speaking of medical insurance ... 2011/06/23 01:08:18 (permalink)
    All I can say is--OUCH!  

    I'm glad you have the good insurance. 

    Should auld acquaintance be forgot--hey, who the hell are you guys?  
     
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    craigb
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    Re:Speaking of medical insurance ... 2011/06/23 01:17:55 (permalink)
    A friend of my Mom's had to see some specialist or another last week.  She was there all of ten minutes and the bill was $660.  No special equipment or tests performed.  Just a quick show & tell.  Guess I picked the wrong profession!  Medical help is becoming almost as expensive as plumbers!

     
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    Kalle Rantaaho
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    Re:Speaking of medical insurance ... 2011/06/23 07:45:10 (permalink)
    Those are the digits that always make europeans dizzy and gasping, even more than the costs of studies in the US.
    I don't know if going to a doctor is a big economical question to an average worker in any (west)european country.

    I honestly think that also a cleaning lady deserves a heart transplant, and also her children have the right to become surgeons if they're smart enough.

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    Guitarhacker
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    Re:Speaking of medical insurance ... 2011/06/23 08:45:07 (permalink)
    A big part of the cost is for the Doc's malpractice insurance. They have to pay enormous premiums for that protection against the ones who would sue them.  A doctor who has not been sued multiple times is a rarity in the medical biz..... or they are doing lab work.

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    Karyn
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    Re:Speaking of medical insurance ... 2011/06/23 08:52:13 (permalink)
    A doctor who has not been sued multiple times is a rarity in the medical biz..... or they are doing lab work.

    I'm not sure I'd want to see a doctor that had been sued any time, let alone multiple times.
     
    Is this a generalization or an accurate reflection of the quality of US doctors?  Over here it's so rare for a doctor to get sued that it makes headline news...  (They usually deserve it)

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    The Maillard Reaction
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    Re:Speaking of medical insurance ... 2011/06/23 09:00:36 (permalink)
    Last time I saw an American Medical Association breakdown of costs it indicated that the average insurance premium for a medical operation is 3% of gross.

    It's up to you to decide if that is an extra ordinary high number or not.


    best regards,
    mike


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    Guitarhacker
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    Re:Speaking of medical insurance ... 2011/06/23 09:37:10 (permalink)
    Karyn,

    over here in the US, people will sue for anything they think will get them some money.... we call it the insurance lottery. 

    Doctors get sued all the time, mostly for the small inconsequential things. Most of the suits get settled or thrown out but they must be defended and that takes lawyers and money.  Some doctors screw up and leave towels and instruments inside after the operations but that is pretty rare, although I do know of it happening.

    Just like driving.... if you have even a small accident, you are very likely to be sued. Even if the insurance co offers to pay all the costs. I had a small fender bender on vacation a number of years ago..... no one was injured. The accident occurred on a Monday. Three days later, the passenger in the other car was taken to the hospital complaining he was dizzy. They did a cat scan. No problems... Then they noticed he had an eye infection (pus coming from his eye) also it was discovered that he had infected toes, removed a few nails surgically and debrided the skin on a seriously infected leg sore. Administered some antibiotics and kept him in the hospital for several days to observe the wounds and be sure they were healing.....

    Even though it was totally unrelated to the accident, he sued me, as did the driver when she found out he was suing. My insurance company decided it was cheaper to pay than fight it in court. She, the driver, not hurt in any way (you should have seen her running around the accident scene) won $8500 and the man with the other unrelated medical issues won $56,000 even though his problems were totally unrelated to the accident.

    I was livid that the insurance co paid this amount to these fakers..... In a conversation with my lawyer after the fact, he put it to me this way.... He asked me if I would rather have seen him wheeled into a courtroom in a wheelchair with his leg in a medical wrap and a patch over his eye with gauze, to ask a jury to compensate him for his injuries.....

    Same thing happens with doctors. A friend of mine is a doctor and he tells me this sort of thing goes on all the time....any wonder the costs to the people are sky high?
    post edited by Guitarhacker - 2011/06/23 09:39:26

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    Beagle
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    Re:Speaking of medical insurance ... 2011/06/23 09:40:19 (permalink)
    I agree with herb, but usually the lawsuits never make it to court - and that is very likely across the pond as well.  they'll settle out of court, especially with malpractice insurance involvement. the only time it ever goes to court is when the doctor was obviously wrong, the insurance company will not pay the litigator and the litigator thinks he/she has a good case to take the doctor to the cleaners.

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    Re:Speaking of medical insurance ... 2011/06/23 09:45:09 (permalink)
    A guy I used to work with had a daughter that needed an operation on her leg. After the operation, she was complaining of pain. A visit to the doc who did the operation...she was told the pain was normal and would ease off.

    It didn't, so a visit to a different doc was planned. The second doc took x-rays..... they saw a medical clamp had been sewed up inside her leg. They removed it and she recovered nicely.

    LAWSUIT.

    The suit never went to court. Malpractice insurance offed a tidy sum, and everyone went on their way. He was prohibited from discussing the details in the settlement.

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    Karyn
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    Re:Speaking of medical insurance ... 2011/06/23 09:47:29 (permalink)
    I was livid that the insurance co paid this amount to these fakers..... In a conversation with my lawyer after the fact, he put it to me this way.... He asked me if I would rather have seen him wheeled into a courtroom in a wheelchair with his leg in a medical wrap and a patch over his eye with gauze, to ask a jury to compensate him for his injuries.....

    Over here he'd have been made to prove his "injuries" were caused by the accident, in other words, a bonafide medical report stating the precise nature of the "injuries" and the diagnosed cause with proof.  "Maybe" and "possibly" generally don't cut it.
     
    So yes, I would want to see him wheeled into court.
     
    I guess we just have a different culture over here.

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    Guitarhacker
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    Re:Speaking of medical insurance ... 2011/06/23 09:58:46 (permalink)
    I agree.... I wanted it to go to court for that very reason.

    The feeling I got from the 2 lawyers was a "I'll scratch your back and you scratch mine" sort of thing.  I think also they were taking the path of least resistance knowing the insurance co would pay at their advice, they would get their paycheck quickly for services rendered, and everyone would go on to the next thing happy and content.

    Since I did not have the right to say "take it to court" they arranged a settlement. They played both sides..... telling me, I didn't want to risk going to court and him getting a sympathetic jury, and they were telling the other side...who, by the way, was asking for WAAAAAAAY more money for compensation, (they were asking for total financial discover on me, and my lawyer blocked that) that they "knew" the injuries were not accident related, and if it went to court they could very well walk out with nothing if the jury saw it from my point of view..... so they settled for the amounts which covered the chiropractor and hospital bills with a few dollars left over for them to spend as they saw fit.  

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    Kalle Rantaaho
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    Re:Speaking of medical insurance ... 2011/06/23 10:10:26 (permalink)
    Guitarhacker


    A big part of the cost is for the Doc's malpractice insurance. They have to pay enormous premiums for that protection against the ones who would sue them.  A doctor who has not been sued multiple times is a rarity in the medical biz..... or they are doing lab work.


    I'm aware of that. It's incomprehendable. I saw a documentary a few years ago about small, single doctor practices in the countryside of the US. Those doctors had to close down their practice because they could not pay the insurance fees with the modest patient flow, even though they could have made a living otherwise.

    That compensation lawsuit system is really designed for the immoral ones to exploit.

    At this side of the pond they usually give a much more moderate sum to the victim, and a relatively high fine as a punishment either to the hospital or the doctor or both. So you won't become a millionaire if you, say, loose some toes (unless you need the toes to make a living - like an athlete).

    No matter how tough it is, we must accept that when humans do something, something can go wrong even if all parties act responsibly and according to best general knowledge.

     

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    The Maillard Reaction
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    Re:Speaking of medical insurance ... 2011/06/23 10:59:00 (permalink)
    3% of gross.


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    57Gregy
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    Re:Speaking of medical insurance ... 2011/06/23 11:16:15 (permalink)
    Plus, our jury of peers is usually made up from folks who would also like to stick it to the rich doctor/hospital/medical corporation. Thus the many out-of-court settlements.

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    Guitarhacker
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    Re:Speaking of medical insurance ... 2011/06/23 11:22:49 (permalink)
    As much as I sympathize with people, there are no guarantees in life.


    If you spill hot coffee on yourself.... too bad, you should have known it was hot.
    Fall on my sidewalk because you are drunk, too bad, next time stay sober and watch where you're going. 

    The victim mentality and thinking you are entitled to compensation for your own stupidity at the expense of others.....

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    craigb
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    Re:Speaking of medical insurance ... 2011/06/23 12:18:50 (permalink)
    I was foreman on a malpractice trial once.  Some guy was claiming that a back surgery he had was done incorrectly and that now he was disabled and in constant pain.  They DID bring him in and made him look like he was exactly as specified, and the jury mostly believed him - at least until the defense attourney wheeled in a TV with a video taken of the guy on the 4th of July carrying a recliner into a house over his head only to be followed by his carrying (without difficulty or obvious pain) TWO cases of beer...

     
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    Bub
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    Re:Speaking of medical insurance ... 2011/06/23 12:52:04 (permalink)
    It also depends on where you live as to how much you'll get when you sue.

    My mother fell on a handicap ramp that had ice on it while going in to the local bank. She could barely walk the rest of her life and was in constant pain because of the fall. She sued and was only awarded $8k. Her lawyer told her if the trial had been held a few counties over she would have got over $100k because the county we lived in historically paid the lowest amount allowed by law in cases like this.

    Of course, when you sue a bank, they have deep pockets to hire better lawyers. When you get a lawyer that works off a percentage of what you will be awarded, and he knows you live in an area that historically doesn't award a lot of money in cases like this, it's hard to get a decent lawyer.

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    Starise
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    Re:Speaking of medical insurance ... 2011/06/23 13:22:45 (permalink)
      In addition to the costs incurred by malpractice insurance there are also the costs that are incurred and passed on by the hospitals for those who get medical care and can't afford to pay for it....or those who don't pay their medical bills. Someone has to pay for this and it gets passed along to the rest of us.

      I would rather get medical care over here in the states because it is some of the very best in the world for the most part. When and if we eventually go socialist like much of the world already has our level of care will probably suffer as a result.

      I see a similar trend with those who near retirement here. Our retirement system can't sustain the numbers retiring compared to those who earn income and contribute to the system.(another wonderful socialist idea) I heard recently that I will need to work until I'm 80 years old. They keep making the retirement age older and older.....I remember my grand dad retiring at 50 yrs old!

      In the above scenario those who can  no longer work will  have no choice but to go out on a medical disability. It's pay me now or pay me later.



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